I went to a doctor recently who was typing very fast. I did kid with her that she could type nearly as fast as I did and yet she was also using one of this automated note taking thinggamagic (holding some kind of microphone in her hand).
She'd type manually for stuff like email/subject, click click one sentence here, click, one word there: for that kind of stuff it's too slow to dictate one word, then click, etc.
But in that big empty text field? She'd dictate.
As a bonus as her patient I got to hear her report (or "my" report if you want) in real-time.